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A Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians

Primary Purpose

Depression, Low Back Pain

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Webinar
DA viewing
SPI feedback
Sponsored by
Massachusetts General Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Depression focused on measuring Communication skills training, Shared Decision Making, Decision making, Decision Aids, lung cancer screening

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Adults 18 and older
  • English speaking
  • Physician
  • Nurse Practitioner
  • Physician Assistant
  • Registered Nurse

Exclusion Criteria:

  • Not clinically active (research faculty only)
  • Medical Trainees
  • Medical Students
  • Medical Assistants
  • Social Workers

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    DA viewing with SPI Feedback

    DA viewing with no SPI Feedback

    Webinar with SPI Feedback

    Webinar with no SPI Feedback

    Arm Description

    Group 1 receives three decision aids and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.

    Group 2 receives three decision aids. This group does not receive any feedback from the SPI.

    Group 3 receives an online, interactive webinar that focuses on SDM skills in clinical encounters and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.

    Group 4 receives an online, interactive webinar that focuses on SDM skills in clinical encounters. This group does not receive any feedback from the SPI.

    Outcomes

    Primary Outcome Measures

    Change in Braddock's Informed Decision Making Score
    Transcripts from standardized patient interactions (SPI) will be scored using Braddock's Informed Decision Making (IDM) framework to assess shared decision making skills. Scores with the Braddock's Informed Decision Making Framework range from 0 to 9; the higher scores are better. We subtracted the scores of the baseline SPI collected before the intervention from the second SPI collected 4-6 weeks later, after the intervention, to determine the change in IDM score for each participant and then compared change scores across study arms.

    Secondary Outcome Measures

    Full Information

    First Posted
    August 9, 2016
    Last Updated
    September 18, 2018
    Sponsor
    Massachusetts General Hospital
    Collaborators
    Partners HealthCare
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02871739
    Brief Title
    A Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians
    Official Title
    A Pilot Randomized Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    July 2016 (Actual)
    Primary Completion Date
    December 2016 (Actual)
    Study Completion Date
    December 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Massachusetts General Hospital
    Collaborators
    Partners HealthCare

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The Health Decision Sciences Center (HDSC) staff has deployed different approaches to training clinicians to engage patients in shared decision making for common medical tests and treatments. The purpose of the study is to compare the effectiveness of shared decision making (SDM) skills training courses using standardized patient interactions (SPI) and written evaluations.
    Detailed Description
    There is limited evidence on approaches to training clinicians to engage patients in shared decision making for common medical tests and treatments. The purpose of the study is to compare the effectiveness of different approaches to shared decision making (SDM) skills training. Participants will be randomly assigned to either receive two decision aids or a webinar to review. Participants will also be randomly assigned to receive feedback on standardized patient interaction rating their shared decision making skills and highlighting opportunities for improvement or not. Clinician participants will be assigned to one of four intervention groups using a 2x2 factorial design: Group 1: Decision aid viewing with feedback Group 2: Decision aid viewing and no feedback Group 3: webinar with feedback Group 4: webinar and no feedback The pilot study will provide evidence on the comparative effectiveness and feasibility on training formats to determine if: Clinicians improved in SDM communication skills Clinicians have an increased confidence to use SDM with their patients The training is acceptable to clinicians

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Depression, Low Back Pain
    Keywords
    Communication skills training, Shared Decision Making, Decision making, Decision Aids, lung cancer screening

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Factorial Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    23 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    DA viewing with SPI Feedback
    Arm Type
    Experimental
    Arm Description
    Group 1 receives three decision aids and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.
    Arm Title
    DA viewing with no SPI Feedback
    Arm Type
    Experimental
    Arm Description
    Group 2 receives three decision aids. This group does not receive any feedback from the SPI.
    Arm Title
    Webinar with SPI Feedback
    Arm Type
    Experimental
    Arm Description
    Group 3 receives an online, interactive webinar that focuses on SDM skills in clinical encounters and feedback on their standardized patient (SPI) interaction rating their shared decision making skills and highlighting opportunities for improvement.
    Arm Title
    Webinar with no SPI Feedback
    Arm Type
    Experimental
    Arm Description
    Group 4 receives an online, interactive webinar that focuses on SDM skills in clinical encounters. This group does not receive any feedback from the SPI.
    Intervention Type
    Behavioral
    Intervention Name(s)
    Webinar
    Intervention Description
    1 hour online, interactive webinar that covers shared decision making skills in clinical encounters.
    Intervention Type
    Behavioral
    Intervention Name(s)
    DA viewing
    Intervention Description
    Participants will receive 3 decisions aids to review.
    Intervention Type
    Behavioral
    Intervention Name(s)
    SPI feedback
    Intervention Description
    Rating of shared decision making skills and opportunities for improvement based on transcript of a standardized patient interaction
    Primary Outcome Measure Information:
    Title
    Change in Braddock's Informed Decision Making Score
    Description
    Transcripts from standardized patient interactions (SPI) will be scored using Braddock's Informed Decision Making (IDM) framework to assess shared decision making skills. Scores with the Braddock's Informed Decision Making Framework range from 0 to 9; the higher scores are better. We subtracted the scores of the baseline SPI collected before the intervention from the second SPI collected 4-6 weeks later, after the intervention, to determine the change in IDM score for each participant and then compared change scores across study arms.
    Time Frame
    Baseline (before intervention) and 4-6 weeks (after intervention)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Adults 18 and older English speaking Physician Nurse Practitioner Physician Assistant Registered Nurse Exclusion Criteria: Not clinically active (research faculty only) Medical Trainees Medical Students Medical Assistants Social Workers
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Karen Sepucha, PhD
    Organizational Affiliation
    Massachusetts General Hospital
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    Citations:
    PubMed Identifier
    25222632
    Citation
    Legare F, Stacey D, Turcotte S, Cossi MJ, Kryworuchko J, Graham ID, Lyddiatt A, Politi MC, Thomson R, Elwyn G, Donner-Banzhoff N. Interventions for improving the adoption of shared decision making by healthcare professionals. Cochrane Database Syst Rev. 2014 Sep 15;(9):CD006732. doi: 10.1002/14651858.CD006732.pub3.
    Results Reference
    background
    PubMed Identifier
    9617647
    Citation
    Davis D. Does CME work? An analysis of the effect of educational activities on physician performance or health care outcomes. Int J Psychiatry Med. 1998;28(1):21-39. doi: 10.2190/UA3R-JX9W-MHR5-RC81.
    Results Reference
    background
    PubMed Identifier
    21757315
    Citation
    Price EL, Bereknyei S, Kuby A, Levinson W, Braddock CH 3rd. New elements for informed decision making: a qualitative study of older adults' views. Patient Educ Couns. 2012 Mar;86(3):335-41. doi: 10.1016/j.pec.2011.06.006. Epub 2011 Jul 14.
    Results Reference
    background

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    A Trial Comparing Approaches to Shared Decision Making Skills Training for Clinicians

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